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Case Reports
. 2024 Oct 18;16(10):e71814.
doi: 10.7759/cureus.71814. eCollection 2024 Oct.

Invasive Klebsiella pneumoniae Syndrome: A Case Report From Malaysia

Xian Pei Cheong  1 , Li Min Lim  1 , Chee Yik Chang  2
Affiliations
Case Reports

Invasive Klebsiella pneumoniae Syndrome: A Case Report From Malaysia

Xian Pei Cheong et al. Cureus. .

Abstract

Invasive Klebsiella syndrome is a potentially life-threatening condition primarily caused by hypervirulent strains of Klebsiella pneumoniae. It is characterized by severe infections that metastasize to various organs, including the liver, lungs, eyes, and brain. We present a case of invasive K. pneumoniae syndrome in Malaysia, highlighting the aggressiveness of the disease. The case involves a 44-year-old woman with diabetes mellitus who developed cavitary pneumonia, pulmonary embolism, and pleural effusion, requiring prolonged antibiotic treatment and drainage. This case highlights the need for early diagnosis and extended antibiotic therapy to improve patient outcomes.

Keywords: cavitating lung lesions; hypervirulent k. pneumoniae (hvkp); invasive klebsiella syndrome; klebsiella pneumoniae (kp); metastatic klebsiella syndrome.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Initial CT scan of thorax showing bilateral cavitary pneumonia with predominant nodule at the right upper lobe, measuring 3.5 x 2.7 x 2.3 cm.
A: anterior, P: posterior.
Figure 2
Figure 2. Interval CT Scan of thorax after four weeks of effective antibiotics showing significant improvement with a smaller nodule at the right upper lobe, measuring 2.8 x 1.7 x 3 cm.
A: anterior, P: posterior
Figure 3
Figure 3. CT scan of thorax after 12 weeks of effective antibiotics showing resolving lung infection with resolved right upper lobe lesion.
A: anterior, P: posterior.
See this image and copyright information in PMC

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